| Collective Health & Wellness | |
|
1330 N Classen Blvd Ste 116 Oklahoma City OK 73106-6834 | |
| (405) 953-6888 | |
| Not Available |
| Full Name | Collective Health & Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 1330 N Classen Blvd Ste 116, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Tierra J Page (OWNER/PRESIDENT) |
| Authorized Official Contact | 4052092083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collective Health & Wellness 9325 Emily Ln Midwest City OK 73130-4330 Ph: (405) 209-2083 | Collective Health & Wellness 1330 N Classen Blvd Ste 116 Oklahoma City OK 73106-6834 Ph: (405) 953-6888 |
| NPI Number | 1366139040 |
|---|---|
| Provider Enumeration Date | 04/21/2023 |
| Last Update Date | 02/13/2025 |
| Certification Date | 02/13/2025 |
| Medicare PECOS PAC ID | 3577086032 |
|---|---|
| Medicare Enrollment ID | O20250326000941 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366139040 | NPI | - | NPPES |
| Provider Name | Tierra J Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487015475 PECOS PAC ID: 3577841956 Enrollment ID: I20161107000920 |
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